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At least 667 records · Page 37Linked to original sources
PubMed1992

[Differential diagnosis of epulis-type changes in the mouth].

Various tumorlike reactions of the oral mucous membranes under the term Epulis are summarized. These histologically different benign or malignant neoplasms of the gingiva are not very frequent. The differential diagnosis on a clinical basis like symptoms and macroscopic appearance is not easy. Sometimes under these harmless appearing lesions highly aggressive and malignant tumors may be hidden; as there are carcinomas, sarcomas, metastases, tumors of the salivary glands or malignant lymphomas. The therapy of choice is the complete removal including the underlaying periosteum. Occasionally the adjacent bone and tooth have also to be resected. Because of the harmless clinical appearance a histological examination is always required. Some clinical and pathohistological impressive examples are presented.

Diagnosis, Differential↗
PubMed2005

[A rare tumor in a newborn: congenital epulis].

A seven-day-old female newborn was examined for a mass protruding from the mouth. Physical examination showed a smooth and pedicled mass with normal mucosal tissue, 3x2 cm in size, originating from the maxillary alveolar edge on the upper incisor and canine teeth. The mass was excised under general anesthesia. Histopathologic diagnosis was congenital epulis. No recurrence was observed during postoperative six months. Congenital epulis is a benign tumor. It should be dealt with surgically if it significantly affects respiratory and alimentary functions.

Diagnosis, Differential↗
PubMed2006

Biopsied gingival lesions in northern Jordanians: A retrospective analysis over 10 years.

The frequency and distribution of 183 consecutive cases of biopsied gingival lesions from northern Jordanians are presented here. Lesions were analyzed for age and sex of subject and location and type of lesion. Neoplasms accounted for 9% of biopsies (7% benign, 3% malignant). The most frequent neoplasm was peripheral ossifying fibroma. The maximum number of benign neoplasms occurred in patients aged 20 to 39 years, and malignant neoplasms did not occur in patients younger than 30 years. Nonneoplastic lesions accounted for 91% of cases; they comprised nine types, with pyogenic granuloma being the most frequent. The frequency and distribution of gingival lesions in north Jordan are similar to those found in other countries. Additional nationwide multicenter studies are needed to describe all aspects of epidemiology of gingival lesions in Jordan.

Adolescent↗
PubMed1990

[Clinical cases of keratinized fibromucous free autografts].

In this work the problems due to shortage of proper or adherent gum have been analyzed, further has been referred the clinical cases corresponding to the periodontal indications, which foresee the reconstruction of an insufficient superficial periodontium. Moreover have been described the surgical techniques of the free graft.

Adult↗
PubMedDate not supplied

[The demonstration of a system of elastic fibers in a study of fibromatous lesions of the oral mucosa].

The elastic fibers system, as visualised by orcein after potassium peroxymonosulfate oxidation in fibromatous lesions of the oral mucosa, is generally sparse. Rich orcein + fibers network was observed in only 5 of our 20 cases of reactive fibromas. Orcein + fibers are absent in the inflammatory areas. These observations rise the problem of the elastogenesis by the fibroblast in healing and neoplasia, and confirm the role played by the proteolytic enzymes during inflammation.

Biopsy↗
PubMed1990

Peripheral fibroma/fibrous epulis with and without calcifications. A clinical evaluation of 204 cases in Singapore.

Peripheral fibroma/fibrous epulis accounts for the great majority of localised gingival swellings as was substantiated by various reports in the literature. A study was undertaken to investigate the clinical features of a series of 204 localised fibrous gingival swellings received by the Histopathology Laboratory, Department of Oral Surgery, National University of Singapore. The female patients were more affected than the male patients and the lesions occurred predominantly among the Chinese. The lesions were mainly pedunculated and most commonly occurred in anterior maxilla. The recurrence rate was about 10.3%. In conclusion the results obtained in this study were overall in agreement with those of other authors.

Adolescent↗
PubMed1990

Root coverage using submarginal free mucosal grafts in conjunction with a retained gingival collar.

A modified technique using a submarginal free mucosal graft has been developed to aid in root coverage. The gingival collar of keratinized tissue is relaxed via a horizontal or semilunar incision and coronally placed. The periosteum is retained on the osseous structures of the recipient site. A free mucosal graft from the palate is sutured submarginally, while the dentist places tension on the gingival collar in an incisal direction. This method has been found, in 8 years of study, to be a predictable way for the periodontist to cover receded gingival tissue where esthetics or root sensitivity is a factor.

Epithelial Attachment↗
PubMed1990

The major epulides: clinicopathological correlations.

The word "epulis" is a clinical term used to describe a localized growth on the gingiva. Histologic examination of epulides indicates that the vast majority are focal fibrous hyperplasias, peripheral ossifying fibromas, pyogenic granulomas or peripheral giant cell granulomas. Data, derived from a 12-year retrospective study of gingival lesions submitted to the Oral Pathology Diagnostic Service at The University of Western Ontario, are the subject of this paper. The results indicate that the major epulides are common oral lesions with which dentists should be thoroughly familiar. The histologic features and clinical relevance of these lesions are examined and analyzed and their biological and clinical behavior are discussed.

Adolescent↗
PubMed1989

Non-surgical treatment of pseudo-recession in children and adolescents.

A case of a 7 year-old girl with gingival pseudo-recession at a mandibular permanent central incisor was successfully treated with a non-surgical approach. Patient compliance (oral hygiene), the location of the junctional epithelium in relation to the cemento-enamel junction (pseudo or true recession), the width of the buccal alveolar bone of the affected tooth, the potential for an increase in the width of the attached gingiva and tooth alignment should be taken into account when considering the type of treatment (surgical or not) of uneven buccal gingival margins in children and adolescents.

Child↗
PubMed1989

[Adherent gingiva: therapeutic approaches as a function of different clinical situations].

Mucogingival surgery has been indicated for many years in cases of insufficiency or absence of attached gingiva. With time results of clinical studies have led to reconsidering this concept. Some authors today believe that systematic increase of attached gingiva is a therapeutic abuse. It is necessary to find a satisfactory attitude in the midst of this debate. Only the careful analysis of the clinical situation considered with the whole patient's dental problem can guide our clinical choice. Our attitude will be different if we are confronted with a natural dentition, prosthetic requirements on orthodontic movement.

Gingival Diseases↗
PubMedDate not supplied

[Current therapy of gingival recession].

The muco-gingival surgery represents one of the facet of periodontal surgery. The gingival recessions, characterized by a total attachmentless uncovering the root surface, become an esthetic and painful problem for our patients. The recessions can be treated by different surgical procedures. After a review of the etiologic factors and of the different type of wound healing, the authors describe and illustrate respectively the gingival graft for root coverage and the laterally positioned flap.

Gingiva↗